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US9743950B2 - Wire-guided surgical instrument - Google Patents

Wire-guided surgical instrument Download PDF

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Publication number
US9743950B2
US9743950B2 US13/774,009 US201313774009A US9743950B2 US 9743950 B2 US9743950 B2 US 9743950B2 US 201313774009 A US201313774009 A US 201313774009A US 9743950 B2 US9743950 B2 US 9743950B2
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US
United States
Prior art keywords
surgical instrument
cylindrical tube
tip
sheath
blade
Prior art date
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Application number
US13/774,009
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English (en)
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US20130218183A1 (en
Inventor
Jacob Jeffrey RAUCHWERGER
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AMBITUS MEDICAL LLC
Ambitus Medical Supplies LLC
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Ambitus Medical Supplies LLC
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Priority to US13/774,009 priority Critical patent/US9743950B2/en
Assigned to AMBITUS MEDICAL LLC reassignment AMBITUS MEDICAL LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: RAUCHWERGER, JACOB JEFFREY
Publication of US20130218183A1 publication Critical patent/US20130218183A1/en
Assigned to AMBITUS MEDICAL SUPPLIES LLC reassignment AMBITUS MEDICAL SUPPLIES LLC CORRECTIVE ASSIGNMENT TO CORRECT THE LEGAL ASSIGNEE ADDRESS PREVIOUSLY RECORDED AT REEL: 030883 FRAME: 0163. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT. Assignors: RAUCHWERGER, JACOB JEFFREY
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Publication of US9743950B2 publication Critical patent/US9743950B2/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22039Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire eccentric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor
    • A61B2017/32113Surgical scalpels, knives; Accessories therefor with extendable or retractable guard or blade

Definitions

  • the invention is directed to a surgical instrument having a cylindrical tube for accommodating a guidewire therein.
  • Surgical instruments such as scalpels, are used to make an incision in the skin, enabling insertion of devices whose purpose is to deliver various substances to the body.
  • a guidewire is inserted into the body cavity and instruments can be reliably advanced over the guidewire and into the body cavity for proper placement. This method is known as the “Seldinger Technique.”
  • the guidewire incision needs to be widened in order to accommodate larger medical devices such as a trocar or catheter. The enlargement is typically done by hand which may lead to an imprecise or larger than needed cut. Therefore, a need clearly exists for a surgical instrument capable of using the guidewire to aid a surgical device, such as a scalpel, in making a more precise incision
  • the present invention provides a surgical instrument with a cylindrical tube affixed thereto.
  • the cylindrical tube is affixed to a top edge of the surgical instrument.
  • the cylindrical tube may be affixed to any side (e.g., side or bottom) depending upon the intended use of the surgical instrument.
  • the cylindrical tube is affixed close to the tip of the surgical instrument to minimize the distance between the tip of the surgical instrument and the edge and the guidewire. This allows a user, for example, to minimize the size of an incision and to eliminate the potential for inadvertent skin nicks.
  • the surgical instrument can also be housed in a sheath.
  • FIG. 1 is a view of the surgical instrument having a cylindrical tube attached thereto.
  • FIG. 2 is a view of the surgical instrument of FIG. 1 with a guidewire inserted through the cylindrical tube.
  • FIGS. 3-5 are views of an alternate embodiment of the surgical instrument encased in a sheath.
  • Distal end 104 has cylindrical tube 106 affixed to the edge of the surgical instrument 100 for accommodating a guidewire. As shown, cylindrical tube 106 is affixed to the top edge of the surgical instrument 100 . However, cylindrical tube 106 may be affixed to any side (e.g., sides or bottom) depending upon the intended use of surgical instrument 100 .
  • Proximal end 102 preferably comprises a handle to allow a user to operate surgical device 100 .
  • surgical instrument 100 is a scalpel having cutting edge 108 for cutting a skin surface.
  • Cutting edge 108 may comprise a cap or cover in order to protect a user and prevent cutting edge 108 from dulling.
  • Cylindrical tube 106 is affixed close to tip 110 of surgical instrument 100 to minimize the distance between tip 110 and the edge and a guidewire inserted through cylindrical tube 106 .
  • guidewire 112 is threaded through cylindrical tube 106 as depicted in FIG. 2 .
  • Surgical instrument 100 can then be advanced over guidewire 112 to a skin surface (not shown).
  • An incision can then be made using cutting edge 108 .
  • the incision is precise because cylindrical tube 106 limits the range of movement of surgical instrument 100 , thereby avoiding any inadvertent skin nicks to the skin surface. Additionally, the cylindrical tube 106 allows for precise movement of surgical instrument 100 , thereby eliminating residual skin tags after incision that may prevent smooth advancement of catheters or devices over the guidewire 112 .
  • FIGS. 3-5 An alternate embodiment of surgical instrument 100 is depicted in FIGS. 3-5 .
  • surgical instrument 100 can be encased in sheath 200 .
  • Sheath 200 has a first channel 202 for accommodating the connection between button 204 and surgical instrument 100 .
  • Button 204 is used to move surgical instrument 100 from a closed position ( FIG. 4 ) to an open position ( FIG. 3 ).
  • the surgical instrument is maintained in the open and/or closed position by a locking mechanism, similar to that of a utility knife.
  • Sheath 200 further comprises a second channel 206 for accommodating cylindrical tube 106 when surgical instrument 100 is in a closed position.
  • Sheath 200 protects an operator from lacerations while threading guidewire 106 through cylindrical tube 106 .
  • surgical instrument 100 remains in a closed position ( FIG. 4 ).
  • Surgical instrument 100 can then be advanced to an open position ( FIG. 3 ) when surgical instrument 100 is close to the desired incision location.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US13/774,009 2012-02-22 2013-02-22 Wire-guided surgical instrument Active 2034-03-16 US9743950B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US13/774,009 US9743950B2 (en) 2012-02-22 2013-02-22 Wire-guided surgical instrument

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201261601701P 2012-02-22 2012-02-22
US13/774,009 US9743950B2 (en) 2012-02-22 2013-02-22 Wire-guided surgical instrument

Publications (2)

Publication Number Publication Date
US20130218183A1 US20130218183A1 (en) 2013-08-22
US9743950B2 true US9743950B2 (en) 2017-08-29

Family

ID=48982831

Family Applications (1)

Application Number Title Priority Date Filing Date
US13/774,009 Active 2034-03-16 US9743950B2 (en) 2012-02-22 2013-02-22 Wire-guided surgical instrument

Country Status (2)

Country Link
US (1) US9743950B2 (fr)
WO (1) WO2013126661A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160128713A1 (en) * 2013-08-09 2016-05-12 Ambitus Medical Supplies Llc Wire-guided surgical instrument
US10603071B1 (en) 2019-05-03 2020-03-31 Gwbn, Llc Cutting device and related systems and methods
US10813665B1 (en) 2019-05-03 2020-10-27 Gwbn, Llc Cutting device and related systems and methods

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013126661A1 (fr) 2012-02-22 2013-08-29 Innovative Premiums Inc. Instrument chirurgical à fil-guide
DE102016101915A1 (de) * 2016-02-03 2017-08-03 Aesculap Ag Minimalinvasives Inzisionsinstrument mit geführter Mehrfachschneide
US12016588B2 (en) * 2018-04-11 2024-06-25 University Of Virginia Patent Foundation Surgical incision apparatus and related methods thereof

Citations (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3754693A (en) * 1972-08-04 1973-08-28 N Herr Needle
US5250063A (en) 1992-01-24 1993-10-05 Leonard Bloom Surgical scalpel with retractable guard
WO1993025152A1 (fr) 1992-06-18 1993-12-23 Antonio Giovanni Flumene Scalpel de surete destine a un usage medical et pourvu d'une poignee-fourreau de protection
US5599351A (en) * 1993-12-08 1997-02-04 Habley Medical Technology Corporation Scalpels having permanent blade retraction
US20040181246A1 (en) 2003-03-11 2004-09-16 Heppler J. Scott Wire guides for a scalpel
US20050177183A1 (en) 2004-02-09 2005-08-11 Thorne Gale H. Guide-wire steered variable incision width safety scalpel
US20050240165A1 (en) 2002-08-01 2005-10-27 Shogo Miki Suction catheter
US20080077146A1 (en) 2006-09-21 2008-03-27 Pioneer Surgical Technology, Inc. Annulus cutting tools and methods
JP2008067810A (ja) 2006-09-13 2008-03-27 Univ Of Tokushima ポータル作製用補助器具
EP2138200A1 (fr) 2007-04-03 2009-12-30 Nipro Corporation Cathéter d'aspiration d'un thrombus
EP2311394A1 (fr) 2009-10-14 2011-04-20 Arthrex, Inc. Couteau arthroscopique canulé
US8016845B1 (en) * 2003-02-04 2011-09-13 Lsi Solutions, Inc. Instrument for guiding the surgical cutting of tissue and method of use
WO2012044633A1 (fr) 2010-09-27 2012-04-05 Smith & Nephew, Inc. Dispositif et procédés destinés à être utilisés pendant une intervention chirurgicale arthroscopique
US20120226299A1 (en) 2011-03-04 2012-09-06 Heppler J Scott Channeled wire guide for a scalpel
CN202776486U (zh) 2012-07-30 2013-03-13 王振龙 导丝导向式otis刀
WO2013126661A1 (fr) 2012-02-22 2013-08-29 Innovative Premiums Inc. Instrument chirurgical à fil-guide
US8925443B2 (en) 2010-12-20 2015-01-06 True Fabrications, Inc. Variably throttled beverage aerator

Patent Citations (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3754693A (en) * 1972-08-04 1973-08-28 N Herr Needle
US5250063A (en) 1992-01-24 1993-10-05 Leonard Bloom Surgical scalpel with retractable guard
WO1993025152A1 (fr) 1992-06-18 1993-12-23 Antonio Giovanni Flumene Scalpel de surete destine a un usage medical et pourvu d'une poignee-fourreau de protection
US5599351A (en) * 1993-12-08 1997-02-04 Habley Medical Technology Corporation Scalpels having permanent blade retraction
US20050240165A1 (en) 2002-08-01 2005-10-27 Shogo Miki Suction catheter
US8016845B1 (en) * 2003-02-04 2011-09-13 Lsi Solutions, Inc. Instrument for guiding the surgical cutting of tissue and method of use
US20040181246A1 (en) 2003-03-11 2004-09-16 Heppler J. Scott Wire guides for a scalpel
US7341596B2 (en) 2003-03-11 2008-03-11 Heppler J Scott Wire guides for a scalpel
US20050177183A1 (en) 2004-02-09 2005-08-11 Thorne Gale H. Guide-wire steered variable incision width safety scalpel
JP2008067810A (ja) 2006-09-13 2008-03-27 Univ Of Tokushima ポータル作製用補助器具
US20080077146A1 (en) 2006-09-21 2008-03-27 Pioneer Surgical Technology, Inc. Annulus cutting tools and methods
EP2138200A1 (fr) 2007-04-03 2009-12-30 Nipro Corporation Cathéter d'aspiration d'un thrombus
EP2311394A1 (fr) 2009-10-14 2011-04-20 Arthrex, Inc. Couteau arthroscopique canulé
WO2012044633A1 (fr) 2010-09-27 2012-04-05 Smith & Nephew, Inc. Dispositif et procédés destinés à être utilisés pendant une intervention chirurgicale arthroscopique
US8925443B2 (en) 2010-12-20 2015-01-06 True Fabrications, Inc. Variably throttled beverage aerator
US20120226299A1 (en) 2011-03-04 2012-09-06 Heppler J Scott Channeled wire guide for a scalpel
WO2013126661A1 (fr) 2012-02-22 2013-08-29 Innovative Premiums Inc. Instrument chirurgical à fil-guide
CN202776486U (zh) 2012-07-30 2013-03-13 王振龙 导丝导向式otis刀

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
International Search Report and Written Opinion dated Nov. 20, 2014, from PCT/US2014/049913.
International Search Report and Written Opinion of the International Searching Authority dated Jun. 13, 2013, from corresponding International Application No. PCT/US2013/027272.
Supplementary European Search Report dated Nov. 28, 2016, from the corresponding EP Application No. 14835391.5.

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160128713A1 (en) * 2013-08-09 2016-05-12 Ambitus Medical Supplies Llc Wire-guided surgical instrument
US10383655B2 (en) * 2013-08-09 2019-08-20 Ambitus Medical Supplies Llc Wire-guided surgical instrument
US10603071B1 (en) 2019-05-03 2020-03-31 Gwbn, Llc Cutting device and related systems and methods
US10813665B1 (en) 2019-05-03 2020-10-27 Gwbn, Llc Cutting device and related systems and methods

Also Published As

Publication number Publication date
WO2013126661A1 (fr) 2013-08-29
US20130218183A1 (en) 2013-08-22

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